A community health nurse is working in a homeless shelter during a pandemic. The nurse should identify which of the following situations as an ethical dilemma?

Deciding when to transport residents who are symptomatic to an urgent care center

Deciding which workers will wear the limited personal protective equipment available

Determining the arrangement of residents within the shelter to prevent spread of infection

Determining how to keep meals warm when serving each of the homeless shelter residents

Answer and Explanation

The Correct Answer is B

A. Deciding when to transport residents who are symptomatic to an urgent care center: This decision involves clinical judgment and prioritization based on symptoms and urgency. While challenging, it follows standard nursing protocols and is not typically considered an ethical dilemma unless resources are severely limited.

B. Deciding which workers will wear the limited personal protective equipment available: This presents an ethical dilemma because the nurse must balance staff safety, fairness, and duty to care amid limited resources. The difficult decision may place some staff at greater risk, raising concerns about justice, equity, and ethical responsibility.

C. Determining the arrangement of residents within the shelter to prevent spread of infection: While this requires logistical planning and public health knowledge, it generally does not involve conflicting moral principles. The focus is on infection control and best practices for spatial distancing to reduce disease transmission.

D. Determining how to keep meals warm when serving each of the homeless shelter residents: This is a practical challenge involving meal service logistics and client satisfaction but does not involve conflicting ethical principles or significant risks to health or well-being.

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Correct Answer is ["A","C","D"]

Explanation

A. Experiencing painful urination is a common symptom of chlamydia due to inflammation of the urethra. This discomfort typically persists until the infection is fully treated and resolved. Educating the client on this symptom helps set realistic expectations and encourages adherence to therapy.

B. Chlamydia is caused by bacteria and is treated with antibiotics, not antiviral medications. Antiviral drugs are ineffective against bacterial infections, so prescribing or expecting antiviral treatment for chlamydia is inappropriate and could delay proper care.

C. Avoiding sexual contact during treatment is critical to prevent transmission of the infection to partners and to ensure effective eradication of the bacteria. Engaging in sexual activity before completing therapy increases the risk of reinfection and spreading the disease.

D. Notifying all sexual partners from the past 2 months is essential for contact tracing and treatment to prevent reinfection and further spread of chlamydia. This public health measure helps control outbreaks and reduces complications associated with untreated infections.

E. Completing antibiotic treatment for chlamydia does not confer acquired immunity. Clients remain susceptible to reinfection if exposed again, so ongoing safe sexual practices and regular screening are important for prevention.

A. Durable medical power of attorney B. Do-not-resuscitate prescription C. Organ donation card D. A living will

Correct Answer is D

Explanation

A. A durable medical power of attorney designates a trusted person to make healthcare decisions on behalf of the client if they become unable to do so. While important, it focuses on decision-making authority rather than specific treatment preferences.

B. A do-not-resuscitate (DNR) prescription specifically addresses whether resuscitation efforts should be initiated but does not cover broader end-of-life care preferences or wishes. It is one component of advance care planning but not the comprehensive document for overall wishes.

C. An organ donation card expresses the client’s wishes regarding donation of organs after death. Although valuable, it does not address broader end-of-life care decisions or treatments.

D. A living will is a legal document that details the client’s preferences for end-of-life care, including treatments they want to accept or refuse. It ensures that their wishes are honored when they cannot communicate, making it the most appropriate document for this purpose.

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A community health nurse is working in a homeless shelter during a pandemic. The nurse should identify which of the following situations as an ethical dilemma?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is counseling a client who has a new diagnosis of chlamydia. Which of the following information should the nurse include in the teaching (Select all that apply.)

Correct Answer is ["A","C","D"]

Explanation

A nurse is caring for a client who is receiving palliative care and wants to make sure they document their wishes for end-of-life care. Which of the following should the nurse assist the client with completing?

Correct Answer is D

Explanation

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